Sign in →

Test Code LAB168 Bilirubin, Total and Direct, Blood

Reporting Title

Bilirubin, Total and Direct

Methodology

Roche Diagnostics, Jendrassik-Grof  RMH, GMC, DH, DMH, GMH, WECC, PMC, GCMH, BH, OBH, MGH, MH, HMH, SH

Performing Laboratory

OhioHealth Laboratory Services-RMH,GMC,DH,DMH, MGH, GMH, HMH, WECC, PMC, OBH, GCMH, BH Core Laboratories

Specimen Requirements

Collection Instructions:

1. Serum and Plasma gel tubes should be centrifuged within 2 hours of collection.

2. Red-top tubes should be centrifuged and aliquoted within 2 hours of collection.

 

Pediatrics

Draw a full, green-top (heparin) Capiject® blood collection tube. Mix by gently inverting 6 to 8 times. Promptly send heparinized whole blood refrigerated. If there is an expected delay in transport, spin down and send 0.25 mL of heparinized plasma refrigerated. 

 

Adults

Submit only 1 of the following specimens:

 

Preferred:

Serum

Draw blood in a gold-top serum gel tube(s). Spin down and send 1 mL of serum refrigerated. Protect specimen from light.

Note:

1. A speckled-top serum gel tube (s) or a plain, red-top tube(s) is also acceptable.

2. Indicate serum on request form.

3. Label specimen appropriately (serum).

 

Alternate: 

Plasma

Draw blood in a mint green-top (heparin) gel tube(s). Spin down and send 1 mL of heparinized plasma refrigerated. Protect specimen from light.

Note:  1. Indicate plasma on request form.

2. Label specimen appropriately (plasma).

 

Sample Stability Information:

If protected from light: 2 days at room temperature;  7 days refrigerated;  6 months frozen

Specimen Transport Temperature

Refrigerate/Ambient OK/Frozen NO

Reference Values

BILIRUBIN, TOTAL

0-1 days:  2.0-6.0 mg.dL

2-3 days:  3.0-9.0 mg/dL

4-22 days:  4.0-12.0 mg/dL

≥23 days:  0.0-1.3 mg/dL

Critical value ≤30 days:  >18.0 mg/dL

Alerting category: Always called within 1 hour (initial result only)

 

BILIRUBIN, DIRECT

≤22 days:  0.0-1.5 mg/dL

≥23 days:  0.0-0.40 mg/dL

Day(s) Test Set Up

Monday through Sunday; Continuously

Test Classification and CPT Coding

82247 - bilirubin, total

82248 - bilirubin, direct